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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: Z"'f1eJ HAt1IL7bN
CONTRACTOR: Cj<FA-TlfrE C(/)7t:>r1 Ihr1Y
PROJECT TO BE INSPECTED: tJ eflg JI-onc
TYPE OF INSPECTION: RoV6H 15{~ I-II"~
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City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
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Print Name
Company
Signature:
Date